Chapter 10 Patient Education McGraw-Hill © 2012 The McGraw-Hill Companies, Inc. All rights reserved.

Chapter 10 Content 10.1 Patients’ rights and nurses’ responsibilities related to education 10.2 Accreditation requirements for patient education 10.3 Patients’ learning needs 10.4 Nursing diagnoses, outcomes, and interventions for patient education 10.5 Implementation, evaluation, and documentation of patient education

10.1 Patients’ Rights and Nurses’ Responsibilities 10-3

10.1 Patients’ Rights and Nurses’ Responsibilities Patient Education Process Provide information to patients, families, and communities Ideally results in enhanced ability to Actively participate in health promotion and health maintenance OR Cope with alterations in health or ability.

10.1 Patients’ Rights and Nurses’ Responsibilities Patient Bill of Rights Healthcare professionals & patients must collaborate Patients need knowledge for active involvement Patient Self-Determination Act (PSDA) Right to active decision making in care Right to consent or refuse

10.1 Patients’ Rights and Nurses’ Responsibilities Professional Standards of practice Ethical Code of Ethics

10.1 Patients’ Rights and Nurses’ Responsibilities National Standards Office of Minority Health Standards on Culturally and Linguistically Appropriate Services (CLAS)

10.2 Accreditation Requirements for Patient Education

10.2 Accreditation Requirements for Patient Education Evaluation based on adherence to quality standards, including patient education The Joint Commission (TJC) Most widely recognized accrediting body General patient education requirements Disease-specific patient education requirements

10.2 Accreditation Requirements for Patient Education TJC Requirements Assessment before education Educational topics for all patients Medications Equipment Procedures Hygiene Nutrition Orientation to hospital room Evaluation of patient understanding

10.2 Accreditation Requirements for Patient Education Disease-Specific Education Core measures Developed by CMS, NQF and TJC Identify specific educational requirements for diseases CHF Smoking cessation Medications Nutrition Daily weight

10.2 Accreditation Requirements for Patient Education National Patient Safety Goals (NPSG) Developed by TJC Actions to prevent medical errors Revised annually Include multiple patient education requirements Anticoagulant therapy Prevention of drug-resistant infections Prevention of central line associated infections Preventing surgical site infections Discharge medications Fall reduction Reporting safety concerns Asking for assistance if patient condition deteriorating

10.3 Patients’ Learning Needs

10.3 Patients’ Learning Needs Assessment Learning needs Readiness to learn Ability to learn Health literacy Barriers to learning Pain Anxiety Language Poor hearing/vision Preferred method of learning

10. 4 Nursing Diagnoses, Outcomes, and 10.4 Nursing Diagnoses, Outcomes, and Interventions for Patient Education

10.4 Nursing Diagnoses, Outcomes, and Interventions Nursing Dx Examples: Knowledge, deficient Noncompliance Therapeutic regimen: ineffective management Specific details about the patient’s learning need should be included in the nursing diagnosis

10.4 Nursing Diagnoses, Outcomes, and Interventions Nursing Outcomes Knowledge outcomes May include knowledge of 30 different topics such as Breast feeding Cardiac disease management Diabetes management Diet Disease process Medication Discharge readiness Fall prevention behavior Risk control

10.4 Nursing Diagnoses, Outcomes, and Interventions Nursing Interventions Examples: Generic health education Parent education interventions Teaching interventions specific to disease process Preoperative teaching Prescribed diet Medications

10. 5 Implementation, Evaluation, and 10.5 Implementation, Evaluation, and Documentation of Patient Education

10.5 Implementation, Evaluation, and Documentation Teaching Methods Verbal Drug information sheets Videos Booklets Computer programs Demonstrations Group discussions Educational television programming

10.5 Implementation, Evaluation, and Documentation Evaluation of Education Method depends on content Teach-back Return demonstration Questioning Mastery of content or need for remediation should be documented If outcomes not met: Re-evaluate the patient for barriers to learning Consider alternate educational formats